Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.27 / $1,507.00 / $3,658.08	Facility		$171.27	$1,507.00	$3,658.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.27 / $1,447.41 / $3,658.08	Professional		$171.27	$1,447.41	$3,658.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $8,584.00 / $11,253.00	Facility		$5,470.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $1,711.44 / $3,539.26	Professional		$164.42	$1,711.44	$3,539.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $246.63 / $2,567.17 / $5,018.31	Professional	50	$246.63	$2,567.17	$5,018.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $170.20 / $232.89 / $268.66	Facility		$170.20	$232.89	$268.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $197.96 / $266.16 / $2,690.00	Professional		$197.96	$266.16	$2,690.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.08 / $306.08 / $306.08	Facility		$306.08	$306.08	$306.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.25 / $1,474.04 / $5,852.91	Professional		$213.25	$1,474.04	$5,852.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,860.65 / $3,572.89 / $5,509.01	Professional		$1,860.65	$3,572.89	$5,509.01